Insurance Claim rejected – Murder does not amount to death by accident
GUWAHATI OMBUDSMAN CENTRE Complaint No. 11-G2-025/13-14 Mrs. Saraswati Dey – Vs – The National Insurance Co. Ltd Insurance Ombudsman Date Read more
Caselaws: Health Insurance
Post mortem and FIR report not necessary in every accidental insurance claim
Complaint No. I.O.(HYD) G -11.38.0098 / 2017-18 Mrs. K. Rama Poorna VS. Royal Sundaram Alliance Ins. Company Ltd. Award No. Read more
Insurance Claim cannot be rejected due to non submission of postmortem report
Case No: CHD-G-049-1516-0640 In the matter of Mr Sonu Kumar Vs New India Assurance Company Ltd Insurance Ombudsman Date of Read more
Insured cannot be held responsible for suppression of material fact – Insurance Ombudsman
Case no. CHD-G-049-1617-0569 In the matter of Mrs. Hardish Sandhu Vs. New India Assurance Company Ltd. Insurance Ombudsman Date of Read more
Insurance Ombudsman rejects insurance claim for unjustified surgeons fees
Complaint No. I.O.(HYD) G -11.51.0074 / 2017-18 Mr. K.V. Subrahmanyam VS. United India Ins. Company Ltd. Award No. I.O. (HYD)/A/GI/0002/ Read more
SBI General Insurance directed to pay Personal Accident claim to victim
COMPLAINT NO. : KOL-G-040-1718- 0027 Insurance Ombudsman Date of award : 23-06-2017 MRS. ANJALI MANDAL Vs. SBI GENERAL INSURANCE COMPANY Read more
Active line of treatment must for admission of claim under health insurance
Complaint No. I.O.(HYD) G -11.49.0099 / 2017-18 Mr. C. Sundaraiah VS. The New India Assurance Company Ltd. Award No. I.O. Read more
Insurance Ombudsman allows mediclaim for pre-existing disease
Complaint No. I.O.(HYD) G -11.48.0096 / 2017-18 Mr. Ch. Srinivasa Murthy VS. National Insurance Company Ltd. Award No. I.O. (HYD)/A/GI/0022/ Read more
Insurance Ombudsman disallows Cataract Surgery claim for multifocal lens
Complaint No. I.O.(HYD) G -11.51.0100 / 2017-18 Mr. P. Satyanarayana VS. United India Ins. Company Ltd. Award No. I.O. (HYD)/A/GI/0013/ Read more
Insurance Ombudsman rejects claim for Ayush treatment undergone in non recognised Govt hospital
Complaint No. I.O.(HYD) G -11.51.0012 / 2017-18 Mr. B. Krishna Reddy VS. United India Ins. Company Ltd. Award No. I.O. Read more
